Promoting oral cancer examinations to medical primary care providers: a cluster randomized trial

2016 ◽  
Vol 76 (4) ◽  
pp. 340-349 ◽  
Author(s):  
Alvin G. Wee ◽  
Lani M. Zimmerman ◽  
James R. Anderson ◽  
Martha E. Nunn ◽  
Fausto R. Loberiza ◽  
...  
Keyword(s):  
Primary Care ◽  
Oral Cancer ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Primary Care Providers ◽  
Care Providers ◽  
Cluster Randomized ◽  
Oral Cancer Examinations

scholarly journals Effects of an Enhanced Training on Primary Care Providers Knowledge, Attitudes, Service and Skills of Dementia Detection: A Cluster Randomized Trial

2021 ◽  
Vol 12 ◽  
Author(s):  
Xiaozhen Lv ◽  
Mei Zhao ◽  
Tao Li ◽  
Changzheng Yuan ◽  
Haifeng Zhang ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Trial ◽  
Cluster Randomized Trial ◽  
Training Group ◽  
Primary Care Providers ◽  
Online Support ◽  
Attitude Score ◽  
Care Providers ◽  
Standard Training ◽  
Cluster Randomized

Background: Effective training programs for primary care providers (PCPs) to support dementia detection are needed, especially in developing countries. This study aimed to investigate the effect of an enhanced training on the competency and service of PCPs for dementia detection.Methods: We conducted a cluster randomized trial in Beijing, China. Community healthcare centers (CHCs) located in Fengtai or Fangshan District were eligible. The enrolled CHCs in each district were randomly assigned to the standard or the enhanced training group at a 1:1 ratio. PCPs serving older adults in enrolled CHCs were eligible to participate. The standard training group received three-hour didactic lectures, three monthly supervisions, 3 months of online support and dementia screening packages. The enhanced training group additionally received three monthly face-to-face supervisions and 3 months of online support. The participants became aware of their group membership at the end of the standard training. The knowledge, attitudes, service, and skills regarding dementia detection were assessed using questionnaires and submitted dementia detection records, respectively.Results: A total of 23 and 21 CHCs were randomly assigned to the standard and the enhanced training group, respectively, and 58 participants from 20 CHCs assigned to the standard training group and 48 from 16 CHCs assigned to the enhanced training group were included in the final analysis (mean age 37.5 years, and 67.0% women). A significant increase in the knowledge score was found in both groups, but the increase was similar in the two groups (P = 0.262). The attitude score remained stable in both groups, and no between-group difference was found. Compared with the baseline, both groups reported an increase in dementia detection service, especially the enhanced training group (24.1% to 31.0% in the standard training group and 14.6% to 45.8% in the enhanced training group). The completion rate and accuracy of submitted dementia detection records in the enhanced training group were both significantly higher than those in the standard training group (both P < 0.001).Conclusion: The enhanced training had similar effect on the knowledge of PCPs comparing with the standard training, but was better on continuous service and skills of PCPs related to dementia detection.Trial registration:www.ClinicalTrials.gov, identifier: NCT02782000. Registration date: May 2016. The trial was completed in July 2017.

scholarly journals A web-based intervention to increase weight loss treatment initiation: results of a cluster randomized feasibility and acceptability trial

2019 ◽  
Author(s):  
Megan A McVay ◽  
William S Yancy ◽  
Gary G Bennett ◽  
Erica Levine ◽  
Seung-Hye Jung ◽  
...  
Keyword(s):  
Primary Care ◽  
Weight Loss ◽  
Treatment Initiation ◽  
Primary Care Providers ◽  
Feasibility Trial ◽  
Care Providers ◽  
Behavioral Weight Loss ◽  
Weight Loss Treatment ◽  
Primary Care Patients ◽  
Cluster Randomized

Abstract Evidence-based behavioral weight loss treatment is under-utilized. To increase initiation of treatment, we developed a single-session, online, primary care-based intervention (“mobilization tool”). We evaluated the mobilization tool's acceptability for primary care patients with obesity, trial design feasibility, and signal of an effect of the tool on treatment initiation. In this cluster randomized feasibility trial, primary care providers (PCPs) were randomized to a mobilization tool or comparator tool arm. Patients with obesity and a scheduled appointment with a randomized PCP were assigned to complete the mobilization or comparator tool prior to their appointment. The online mobilization tool asks patients to answer questions about a variety of weight-related topics and then provides automated, tailored feedback that addresses psychosocial determinants of weight loss treatment initiation. The comparator tool provided a nontailored description of treatments. All participants were offered free enrollment in behavioral weight loss treatments. Six PCPs were randomized. Sixty patients (57% female; 66% white; aged 55 ± 13 years) participated in this study of 296 contacted for eligibility evaluation (20.2%). Six-month follow-up assessments were completed by 65% (22/34) of the mobilization and 73% (19/26) of comparator tool participants. Participants completing the acceptability survey reported that the mobilization tool was usable, enjoyable, informative, and useful. Weight loss treatment was initiated by 59% (n = 19) of mobilization and 33% (n = 8) of comparator tool participants. The mobilization tool shows promise for increasing treatment initiation among primary care patients, which may increase population weight loss. Trial Registration: Clinicaltrials.gov identifier: NCT02708121.

scholarly journals Dermoscopy of Concerning Pigmented Lesions and Primary Care Providers’ Referrals at Intervals After Randomized Trial of Mastery Learning

2018 ◽  
Vol 33 (6) ◽  
pp. 799-800 ◽  
Author(s):  
June K. Robinson ◽  
Michael MacLean ◽  
Rachel Reavy ◽  
Rob Turrisi ◽  
Kimberly Mallett ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Trial ◽  
Mastery Learning ◽  
Primary Care Providers ◽  
Care Providers ◽  
Pigmented Lesions

scholarly journals Results from the CLUES study: a cluster randomized trial for the evaluation of cardiovascular guideline implementation in primary care in Spain

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Arritxu Etxeberria ◽  
Idoia Alcorta ◽  
Itziar Pérez ◽  
Jose Ignacio Emparanza ◽  
Elena Ruiz de Velasco ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Trial ◽  
Guideline Implementation ◽  
Cluster Randomized Trial ◽  
Cluster Randomized

scholarly journals Protocol for a Cluster Randomized Trial Comparing Team-Based to Clinician-Focused Implementation of Advance Care Planning in Primary Care

2019 ◽  
Vol 22 (S1) ◽  
pp. S-82-S-89 ◽  
Author(s):  
Annette M. Totten ◽  
Lyle J. Fagnan ◽  
David Dorr ◽  
LeAnn C. Michaels ◽  
Shigeko (Seiko) Izumi ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Trial ◽  
Advance Care Planning ◽  
Cluster Randomized Trial ◽  
Care Planning ◽  
Advance Care ◽  
Cluster Randomized
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